Job Description:
Date Posted: August 29, 2025
Closing Date: September 5, 2025
Job Type: Full-time
Start Date: October 27, 2025
Program: Clinical Care Programs
Branch: Scarborough
Group: ONA
Are you an experienced Nurse Practitioner seeking a rewarding career that cares for others, in a professional practice that cares for you? You’re looking in the right place.
Reporting to the Senior Manager, the Nurse Practitioner (NP) position is responsible to provide direct care to patients within the NP legislated scope of practice for patients living within a designated geographical area suffering from palliative, complex comorbidities and geriatric needs.

What will you do?

• Manages the delivery of coordinated high quality and clinical expertise to the high intense wait at home program, palliative care programs, designated Long Term Care Homes (LTCH) and retirement homes (RH), and be responsive to other ED avoidance needs in the community within a designated geographical area
• Work within the full scope of practice and will autonomously assess, diagnose, provide pain and symptom management, order and interpret diagnostic tests and prescribe pharmaceuticals within the NP legislated scope of practice to improve quality or life for patients
• Develops initial clinical assessments which include assessing home environment, supports available in the home, level of health, goals and expectations related to care. Assessment may include applications for hospice
• Develops collaborative relationships with Ontario Health atHome Care Coordinators, physicians, coroners, hospital staff, hospice staff, LTCH staff, Retirement Home staff and other community partners as identified, i.e., community support service agencies, OHT, Community Paramedicine program, Paramedic Services Palliative Treat and Refer program, etc.
• Improves the quality of life of individuals, and their families, by giving them the choice to receive care in their preferred location
• Manages complex and difficult patient issues that cannot be handled in a routine manner
• Collaborative consultation with physicians, NPs and broader system care team to maintain patient centred care
• Establishes and maintains effective relationships with designated service providers to deliver quality palliative, complex and geriatric care
• Researches palliative, geriatric and complex care needs to provide exceptional care to patients
• Participates in the teaching and coaching of family members, LTCHs, RHs to support them with palliative, complex and geriatric care
• Participates and provides effective advice and guidance to Care Coordinators to help manage difficult and unusual cases
• Documents care interventions consistent with Ontario Health atHome documentation platforms and standards, as well as CNO documentation standards
• Supports data collection and program review consistent with NP objectives
• Works collaboratively with the broader heath system care team by participating in clinical rounds, and care conferences
• May be required to complete nasopharyngeal swabs for patients in the community or LTCH as required.
• May be required to complete assessments and or provisions for patients requiring Medical Assistance in Dying as required.
• Will be required to complete clinical assessments in patient homes, LTCHs, Retirement Homes, etc.
• Designs and implements materials and strategies for enhancement of clinical competency and capacity of LTCH staff to address clinical complexity in the LTCH environment, as applicable.
• Mentor and assist in orientating new NPs and support other NP programs as directed by leadership
• Embody Ontario Health atHome mission, vision and values and apply quadruple aim (enhancing patient experience, enhancing provider/staff experience, improving value and improving populations health) to support continuous quality improvement in daily work
• Exemplify, embrace and intentionally promote an inclusive work environment where all are meant to feel they belong
• Continually demonstrate a commitment to create a positive culture of equity, inclusion, diversity and anti-racism

What must you have?

• Master’s degree, any relevant field
• Current RN(EC) registration with the College of Nurses of Ontario (with a preferred NP certificate in Primary Health Care or Adult Care)
• A minimum of 3 years nursing RN experience
• Working knowledge of Ontario Health atHome role in the community and LTCH sector
• Critical thinking skills
• Demonstrated leadership, ability to work independently but also as a team
• Collaborative
• Empathic and patient/family centred
• Community/LTC experience and ability to navigate through community/LTC systems is preferred
• Strong clinical experience preferred
• Advanced knowledge of MAID legislation and application of professional standards
• Knowledge in central, peripheral and subcutaneous infusion access and administration

What would give you the edge?

• Gerontology Nurse Certified Canada (GNC) is preferred
• Hospice Palliative Care Nursing Certificate (CHPCN) is preferred
• Canadian Association of MAID Assessors and Providers (CAMAP) membership is preferred
• Palliative, emergency department, mental health/dementia-related behaviours and/or geriatric experience an asset

Hours of work:
Monday to Friday 830am-430pm, subject to change as per the collective agreement (35 hours per week; 70 hours per bi-weekly pay period).
Position location and travel:
Hybrid work model, subject to change.
Regular travel within the geographical region of Ontario Health atHome Central East may be required. A valid Ontario driver’s license and access to a vehicle are necessary.
What do we offer?

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer:

• Attractive comprehensive compensation packages and benefits
• Valuable development opportunities
• Membership in a world class defined benefit pension plan
• Salary: $58.98-$73.73/hour

Who we are:
We are Ontario Health atHome, ready to serve every person in Ontario. Ontario Health atHome We partner with patients and caregivers, primary care providers, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.
If you’re interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.
Equity, Inclusion, Diversity and Anti-Racism Commitment
Ontario Health atHome is committed to a culture of equity, inclusion, diversity and anti-racism. We are committed to attracting, engaging and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodations for persons with disabilities required during the recruitment process are available upon request.
We thank all applicants for their interest; however, only those selected for an interview will be contacted.

• Manages the delivery of coordinated high quality and clinical expertise to the high intense wait at home program, palliative care programs, designated Long Term Care Homes (LTCH) and retirement homes (RH), and be responsive to other ED avoidance needs in the community within a designated geographical area
• Work within the full scope of practice and will autonomously assess, diagnose, provide pain and symptom management, order and interpret diagnostic tests and prescribe pharmaceuticals within the NP legislated scope of practice to improve quality or life for patients
• Develops initial clinical assessments which include assessing home environment, supports available in the home, level of health, goals and expectations related to care. Assessment may include applications for hospice
• Develops collaborative relationships with Ontario Health atHome Care Coordinators, physicians, coroners, hospital staff, hospice staff, LTCH staff, Retirement Home staff and other community partners as identified, i.e., community support service agencies, OHT, Community Paramedicine program, Paramedic Services Palliative Treat and Refer program, etc.
• Improves the quality of life of individuals, and their families, by giving them the choice to receive care in their preferred location
• Manages complex and difficult patient issues that cannot be handled in a routine manner
• Collaborative consultation with physicians, NPs and broader system care team to maintain patient centred care
• Establishes and maintains effective relationships with designated service providers to deliver quality palliative, complex and geriatric care
• Researches palliative, geriatric and complex care needs to provide exceptional care to patients
• Participates in the teaching and coaching of family members, LTCHs, RHs to support them with palliative, complex and geriatric care
• Participates and provides effective advice and guidance to Care Coordinators to help manage difficult and unusual cases
• Documents care interventions consistent with Ontario Health atHome documentation platforms and standards, as well as CNO documentation standards
• Supports data collection and program review consistent with NP objectives
• Works collaboratively with the broader heath system care team by participating in clinical rounds, and care conferences
• May be required to complete nasopharyngeal swabs for patients in the community or LTCH as required.
• May be required to complete assessments and or provisions for patients requiring Medical Assistance in Dying as required.
• Will be required to complete clinical assessments in patient homes, LTCHs, Retirement Homes, etc.
• Designs and implements materials and strategies for enhancement of clinical competency and capacity of LTCH staff to address clinical complexity in the LTCH environment, as applicable.
• Mentor and assist in orientating new NPs and support other NP programs as directed by leadership
• Embody Ontario Health atHome mission, vision and values and apply quadruple aim (enhancing patient experience, enhancing provider/staff experience, improving value and improving populations health) to support continuous quality improvement in daily work
• Exemplify, embrace and intentionally promote an inclusive work environment where all are meant to feel they belong
• Continually demonstrate a commitment to create a positive culture of equity, inclusion, diversity and anti-racis